| Eureka Medical Llc | |
|
97 Hill Top Village Center Suite E & F Eureka MO 63025-1184 | |
| (636) 938-6060 | |
| (636) 587-9712 |
| Full Name | Eureka Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 97 Hill Top Village Center, Eureka, Missouri |
| Authorized Official Name and Position | David Lawrence Pittenger (CONTROLING OWNER) |
| Authorized Official Contact | 6369386060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eureka Medical Llc 97 Hill Top Village Center Suite E & F Eureka MO 63025-1184 Ph: (636) 938-6060 | Eureka Medical Llc 97 Hill Top Village Center Suite E & F Eureka MO 63025-1184 Ph: (636) 938-6060 |
| NPI Number | 1194820860 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 02/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194820860 | NPI | - | NPPES |
| 501125900 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D030648 (Missouri) | Primary |
| 207R00000X | Internal Medicine | 2002004657 (Missouri) | Secondary |
Pain Relief Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 W 5th St, Eureka, MO 63025 Phone: 314-275-8737 Fax: 314-205-1508 | |
Mercy Clinic South Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Thresher Dr, Eureka, MO 63025 Phone: 314-543-5968 Fax: 314-543-5918 | |
Primary Care Of Cedar Hill Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 Hilltop Village Center Dr, Eureka, MO 63025 Phone: 636-587-6350 Fax: 636-529-0699 | |
Eureka Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 The Legends Pkwy, Suite 100, Eureka, MO 63025 Phone: 636-938-7888 Fax: 636-938-7171 | |
Patients First Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 The Legends Pkwy, Eureka, MO 63025 Phone: 636-549-0100 Fax: 636-549-0101 |